P.O. Number_________________ [INSTRUCTIONS FOR COMPLETING THIS FORM ARE IN ITALICS AND BRACKETS. PLEASE COMPLETE EVERY FIELD AND DELETE ALL INSTRUCTIONS INCLUDING THE BRACKETS.] STATE OF MINNESOTA MINNESOTA STATE COLLEGES AND UNIVERSITIES FACILITIES PROFESSIONAL/TECHNICAL SERVICES CONTRACT AMENDMENT NO. (X) Board of Trustees of the Minnesota State Colleges and Universities [INSERT NAME OF COLLEGE/UNIVERSITY/SYSTEM OFFICE] [INSERT CONSULTANT'S LEGAL NAME] [INSERT CONSULTANT'S FULL ADDRESS] Original Contract Effective Date:_______________ Original Contract Expiration Date:_______________ Amended Contract Expiration Date:[IF APPLICABLE] This amendment is between the State of Minnesota, acting through its Board of Trustees of the Minnesota State Colleges and Universities, on behalf of [INSERT NAME OF COLLEGE/UNIVERSITY/ SYSTEM OFFICE] (hereinafter MnSCU), and [INSERT CONSULTANT’S LEGAL NAME AND FULL ADDRESS], an independent CONSULTANT, not an employee of the State of Minnesota (hereinafter CONSULTANT). Recitals WHEREAS, MnSCU has a contract with the CONTRACTOR (hereinafter “Original Contract”) to provide [INSERT CONSULTANT’S DUTIES OR A BRIEF DESCRIPTION FROM THE ORIGINAL CONTRACT], and WHEREAS, MnSCU and the CONSULTANT are willing to amend the Original Contract as stated below, NOW THEREFORE, it is agreed: Contract Amendment [INSTRUCTIONS: THE FOLLOWING IS A SAMPLE AMENDMENT. BE SURE TO CLEARLY INDICATE WHAT IS BEING ADDED/DELETED. STRIKE OUT INFORMATION YOU WANT DELETED AND UNDERLINE THE INFORMATION YOU ADD AS FOUND IN REVISION 1. EXAMPLE BELOW. YOU WILL NEED TO MODIFY THIS FORM FOR YOUR NEEDS. DELETE THIS INSTRUCTION PARAGRAPH FROM YOUR FINAL DOCUMENT.] In this Amendment, deleted contract terms will be struck out and the added contract terms will be underlined. REVISION 1. TERM OF CONTRACT is amended as follows: This contract amendment shall be effective on [INSERT FULL DATE (e.g., January 29, 2013)] or upon the date the final required signature is obtained by MnSCU, whichever occurs later, and shall remain in effect until [INSERT FULL DATE (e.g., June 30, 2013)] or until all obligations set forth in this contract have been satisfactorily fulfilled, whichever occurs first. The CONSULTANT understands that no work should begin under this contract amendment until all required signatures have been obtained and the CONSULTANT is notified to begin work by MnSCU’s authorized representative. FPT.70 Page 1 of 4 12/31/15 REVISION 2. CONSULTANT’S DUTIES is amended as follows: [INSERT CONSULTANT’S DUTIES FROM ORIGINAL CONTRACT AND AMEND, ADD OR DELETE DELIVERABLES] REVISION 3. CONSIDERATION AND TERMS OF PAYMENT is amended as follows: a. Consideration for all services performed and goods or materials supplied by the CONSULTANT pursuant to this contract shall be paid by MnSCU as follows: i. Compensation of [INSERT DOLLAR AMOUNT IN WORDS AND NUMBERS AND NUMBER OF HOURS, e.g, Fifty and 00/100 Dollars ($50.00) for eighty (80) hours)] ii. Reimbursement for travel and subsistence expenses actually and necessarily incurred by the Architect and their sub-consultants in performance of this contract shall be included in the Architect’s fee for Basic Services. Fees to be paid by the Consultant for securing approval of authorities having jurisdiction over the Project, if applicable, shall be included as Reimbursable Expenses. Reimbursement is also allowed for Owner-requested documents when the Architect provides printing services. iii. The total obligation of MnSCU for all compensation and reimbursement to the CONSULTANT shall not exceed [INSERT DOLLAR AMOUNT IN WORDS AND NUMBERS, e.g. Four Thousand One Hundred Twenty and 00/100 Dollars ($4,120.00).] b. Terms of Payment. i. Payment shall be made by MnSCU promptly after the CONSULTANT’S presentation of invoices for services performed and acceptance of such services by MnSCU’s authorized representative. Invoices shall be presented by CONSULTANT according to the following schedule: [USE TERMS OR PHRASES SUCH AS WEEKLY, MONTHLY OR WITHIN CALENDAR DAYS FOLLOWING COMPLETION OF SERVICES OR IF THERE ARE SPECIFIC DELIVERABLES, PHASES, TASKS, LIST HOW MUCH WILL BE PAID FOR EACH.] ii. [IF APPLICABLE, INSERT THIS CLAUSE] Payments are to be made from federal funds obtained by MnSCU through Title ______ of the ________________ Act of ____________________ (Public law and amendments thereto). If at any time such funds become unavailable, this contract shall be terminated immediately upon written notice of such fact by MnSCU to the CONSULTANT. In the event of such termination, CONSULTANT shall be entitled to payment, determined on a pro rata basis, for services satisfactorily performed. REVISION 4. AUTHORIZED REPRESENTATIVES is amended to read: [DELETE REVISION 4 IF NOT APPLICABLE TO THIS AMENDMENT] All official notifications, including but not limited to, cancellation of this contract must be sent to the other party’s authorized representative. a. MnSCU’s authorized representative for the purpose of administration of this contract is: Name: Address: Telephone: FPT.70 Page 2 of 4 12/31/15 E-Mail: Fax: Such representative shall have final authority for acceptance of the CONSULTANT’S services and, if such services are accepted as satisfactory, shall so certify on each invoice presented pursuant to Clause III, paragraph B. b. The CONSULTANT’S authorized representative for the purpose of administration of this contract is: Name: Address: Telephone: E-Mail: Fax: REVISION 5. OTHER PROVISIONS is amended to read: [DELETE REVISION 5 AND OTHER REVISION PARAGRAPHS IF NOT APPLICABLE TO THIS AMENDMENT] Except as amended above, the terms and conditions of the Original Contract and all previous amendments remain in full force and effect. The rest of this page intentionally left blank. Signature page to follow. FPT.70 Page 3 of 4 12/31/15 [WHEN FINALIZING DOCUMENT, FORMAT DOCUMENT SO THE ENTIRE SIGNATURE PAGE REMAINS ON THE LAST PAGE] IN WITNESS WHEREOF, the parties have caused this amendment to be duly executed intending to be bound thereby. APPROVED: 1. CONSULTANT: CONSULTANT certifies that the appropriate person(s) have executed the contract on behalf of CONTRACTOR as required by applicable articles, by-laws, resolutions, or ordinances. By (authorized signature and printed name) Title Date By (authorized signature and printed name) Title Date 2. VERIFIED AS TO ENCUMBRANCE: [INSERT NAME OF COLLEGE/UNIVERSITY/SYSTEM OFFICE]: Employee certifies that funds have been encumbered as required by Minnesota Statute §16A.15. By (authorized signature and printed name) Title Date 3. MINNESOTA STATE COLLEGES AND UNIVERSITIES [INSERT NAME OF COLLEGE/UNIVERSITY/SYSTEM OFFICE]: By (authorized signature and printed name) Title Date 4. AS TO FORM AND EXECUTION: [INSERT NAME OF COLLEGE/UNIVERSITY/SYSTEM OFFICE]: By (authorized signature and printed name) Title Date FPT.70 Page 4 of 4 12/31/15